Erectile Dysfunction

This is one topic from medical forum.
The question with which one patient consults to the doctor.

The patient explains the situation that he had been taking one medication for about 5 years. Doctors gave his different medications but it all had undesirable side effects like headaches, flushing, etc. Finally doctors settled on Norvasc 5 mg and Tenoretic 50 mg once daily. Unfortunately, this combination caused almost total lack of ability to get and maintain an erection. Furthermore, this man managed to lose 25 lbs , then he started to live in more stressful way, began to get some more exercise. Despite the fact, that he generally had a good health. He is from Mexico , and when he told the doctor about his problems with erection, he gave the patient a piece of advice to take Posicar T. But a bit later, that medication was taken off the market worldwide. So he went back on just Tenoretic 50 mg once a day.

It maintained his BP around 135/90, with abrupt bouncing up and down. But he is still able to get an erection only in times when he gets it usually, and one more upon waking in the morning. His doctor decided to give him one more 50mg pill at night to see if that can bring his BP to the normal level. But the patient learned that Tenoretic is a beta-blocker with a diuretic. He also learned from his research that the influence of this drug is to block the erection(as it is one of the side effects). So, this man was interested whether there’s a medication which doesn’’t have so much side effects. The doctor answered to him in his next letter, that any anti-hypertensive drug can cause erectile dysfunction. Beta-blockers(like Tenoretic) do this more often. Some doctors could wean you off the beta-blocker and substitute Norvasc and increase the dose; they may keep you on a diuretic. Doctors often advice you not to stop taking Posicor, because taking any other medications can cause to a death. The doctor hopes that this information can be useful for him and for people, who read it. Then the doctor wished the patient good luck and to feel free with any further questions. The information that you have just read is of general nature. You have to remember, that all the specific diagnoses and treatments can only be made by your doctor.

Let’s speak about Erectile Dysfunction, especially about prostate. All information is taken from one urology forum. One man in that forum wanted to talk about his sexual life. He was a healthy man, 34 years of age, but his life has suddenly changed. He was seeking someone’s help or advice. His wife has changed their sexual life to the worse over the last years. The man failed an erection that night and couldn’t make love. He had a burning sensation in his penis. From that tome he couldn’t have strong and persistent erection and therefore he wasn’t able to perform sexual intercourse with his wife. The more, so he had never been able to achieve an erection in his wife’s presence 3-4 times. That man said that he has been able to have an erection when he massage his penis but is was taking him longer. But the whole effort was still creating the burning sensation in his penis. The more so, the erection was not strong and he had pain at the base of his penis. He has masturbated successfully - the semen flow seemed to be fine. Unfortunately, he wasn’t able to have an erection without touching his penis , as he used to do it before. He showed this problem to a Family Practice Doctor and he prescribed 14 days of Antibiotics that he was taking. Though, in his urine sample tests did not show any bacteria. Also he is not showing much improvement. He sais , that he is an otherwise healthy 34 year man.His cholesterol level is 190 odd with a low HDL (around 29 - this is not good) and high triglyceride count (around 300) He had his health checkup performed early this year and did not have diabetes.

Here is his current state:
He has an erectile dysfunction problem – he is not able to sustain an erection and his love life with his wife is in shambles. In fact, both of them are suffering, this is the worst phase in their life. He says that he is confused – he doesn’t know the cause, and each time they are loosing confidence that he will ever be able to return back to normalcy.
He was said by one doctor that he has prostates, but that doctor wasn’t also sure..

He was asking for help. Personal doctors would consider a referral to a urologist. Obviously, increased stress and other psychogenic reasons can cause erectile dysfunction. Because as we know, diseases like vascular problems, diabetes and low testosterone usually lead to these symptoms. Everything from An ultrasound, physical exam looking at the pulses, as well as testosterone levels can be considered. Everybody knows that regarding prostatitis-sending some prostatic secretions, that usually obtained via prostatic massage, can be considered for further evaluation. It is necessary for you to consult to your personal physician, because the information presented below is for your personal education only. You have to see your personal physician for further evaluation of your individual case.

Here is some information that was taken from one urology forum. In that topic one man was trying to explain his problem and asked someone to give him a piece of advise for solving his problem. He said that he is 34 year old male and his life has suddenly changed for him. He mentioned that he seek for someone’s help in solving this difficult life situation. He added that his life has undergone a drastic change for the worse over the past few weeks. He said that for the first time in his life he failed to have an erection one night and wasn’t able to make love. He ad a burning sensation in his penis.

Since then, he hasn’t been able to have strong, persistent erection, and thus couldn’t perform sexual intercourse with his wife. The matter is, that he has never been able to achieve an erection in his wife's presence 3-4 times now. It caused to large number of difficulties in his life. He says that he has been able to achieve an erection when he massages his penis, but it usually takes him a lot of time. Then he added that the whole effort creates a burning sensation in his penis. But unfortunately, his erection is not strong and he has pain at the base of his penis. According to him, he masturbated successfully-the semen flow seemed to be fine. But he is not able to have an erection without touching his penis, as he used to do it before. he said that he showed this problem to his personal doctor and he prescribed him 14 days of Antibiotics that he is taking. But despite the fact that he was taking the prescribed drugs, in his urine sample tests didn’t show any bacteria. He isn’t showing much improvement. He is an otherwise healthy 34 year old male. His cholestrol level is 190 odd with a low HDL (and everybody know that around 29 - is not good) and high triglyceride count (around 300) he had his health checkup performed early this year and did not have diabetes.

Here is the current state of that man:
he has an erectile dysfunction problem – he is not able to sustain an erection and his sexual life with his wife is in shambles. The most awful thing is that both of them is suffering, this is the most difficult period in their life. He affirms that he is confused , because he doesn’t know the cause and every day he feels like someone, who has almost lost confidence that he will ever be able to return back to normalcy. The original diagnosis was prostatitis, but his doctor is also not sure in it now. That man was asking for help or, at least, for advice. One doctor answered to that man and he advised to take a referral to a urologist. Because as he believes, increased stress and other psychogenic causes may lead to erectile dysfunction. As you know, doctors suppose that different diseases like vascular problems, diabetes and low testosterone can also lead to these unfavorable symptoms. It is well known fact, that an ultrasound, physical exam looking at the pulses, as well as testosterone levels can all be considered as the cause of these serious health problems. Everybody knows that regarding prostatitis-sending some prostatic secretions, that usually obtained via prostatic massage, can be considered for further evaluation. It is necessary for you to consult to your personal physician, because the information presented below is for your personal education only. You have to see your personal physician for further evaluation of your individual case.